Subrogation Legal Assistant

Subrogation Virtual Assistant

Job Overview

We are seeking a reliable and experienced Subrogation Virtual Assistant to support our Subrogation Department. The ideal candidate will have experience in medical billing, health insurance, subrogation claims, and working with healthcare providers and insurance portals.

Key Responsibilities

• Open and manage subrogation claims involving Medi-Cal, Medicare, private health plans, and VA claims
• Perform medical billing follow-up with healthcare providers, including hospitals, emergency room physicians, radiology providers, and other medical facilities
• Handle and process HIPAA Letters of Representation (LORs)
• Communicate with health insurance plans and demonstrate an understanding of insurance benefits, coverage, fees, and claims processes
• Follow up with subrogation agencies to obtain itemized medical statements, final liens, and related documentation
• Navigate and utilize the DHCS and Medicare portals to research claims, benefits, and lien information
• Maintain accurate records and follow up on outstanding claims and documentation
• Communicate professionally with insurance carriers, healthcare providers, subrogation agencies, and other relevant parties
• Maintain confidentiality and comply with HIPAA and applicable privacy requirements

Qualifications

• Previous experience in subrogation, medical billing, insurance claims, or healthcare administration
• Familiarity with Medi-Cal, Medicare, VA, and private health insurance
• Experience working with DHCS and Medicare portals
• Knowledge of HIPAA requirements and Letters of Representation (LORs)
• Strong communication, organization, follow-up, and documentation skills
• Ability to work independently and manage multiple claims and tasks efficiently